OSTOMY CARE EXAM 1 LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
A 10-year-old male patient presents with the following symptoms:
intermittent abdominal cramping, pain, tenesmus, fatigue, and anemia.
Osteopenia, weight loss, and anorexia with growth retardation are also
noted. What condition would the WOC nurse suspect? - ANSWERS-
Ulcerative colitis
An infant diagnosed with prune belly syndrome would be managed by -
ANSWERS-Vesicostomy
Rationale: Prune belly syndrome presents with severe urinary tract
abnormalities. A temporary vesicostomy is performed to provide
adequate urinary drainage and prevent back up of urine
Which of the following would be the best to recommend for an active
toddler to prevent dislodgement of the pouch?
Use one-piece pouch system.
Use a diaper instead of a pouch.
Dress in clothing that has snap crotch.
Restrict active playtime. - ANSWERS-Dress in clothing that has snap
crotch
END OF
PAGE
1
, OSTOMY CARE EXAM 1 LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
Rationale: Clothing with a snap crotch ("onesies") can prevent an active
toddler from dislodging their colostomy pouch
An infant is diagnosed with myelomeningocele (spina bifida). For what
surgery would the WOC nurse prepare the family of this patient -
ANSWERS-Vesicostomy
Rationale: Vesicostomy is an initial surgical intervention for an infant
with myelomeningocele (spina bifida). The goal is to preserve renal
function. The child may be a candidate for clean intermittent
catheterization (CIC).
The ostomy nurse is sometimes asked to help implement a bowel
refeeding program for infants who have high output proximal stomas.
The primary purpose of this program is - ANSWERS-To promote
nutrient absorption and normal growth patterns
Infant formula is thought to be a triggering factor for necrotizing
enterocolitis True
False - ANSWERS-True
END OF
PAGE
2
, OSTOMY CARE EXAM 1 LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
the primary concern in the management of IBD in children is -
ANSWERS-Maintenance of normal nutritional status and growth
patterns
The ostomy nurse is consulted regarding education for the parents of a
neonate with an ileostomy due to necrotizing enterocolitis. They ask
about any longterm effects on their baby's health and bowel function.
What is the BEST response from the ostomy nurse? - ANSWERS-The
ostomy will be closed when the baby's condition permits; long term
outcomes depend on the length of small bowel remaining
When teaching parents about ostomy management, the ostomy nurse
should consider the following: - ANSWERS-Pouching is required for
the infant with an ileostomy but is optional for infants with a colostomy
or urostomy
If paste is used, it should be applied to the back of the pouch and
allowed to dry prior to pouch application
The most common reason for urinary diversion in adults is -
ANSWERS-Bladder cancer
END OF
PAGE
3
, OSTOMY CARE EXAM 1 LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
transitional cell carcinoma (TCC) - ANSWERS-TCC typically involves
the bladder but can also develop in the ureters or the collecting ducts
TCC is also known as urothelial cancer and is the most common type of
bladder cancer
Posterior pelvic exenteration: - ANSWERS-Removal of rectum with
APR or LAR;
possible prostatectomy in men;
removal of uterus, tubes, ovaries, and vagina in woman with possible
vaginal reconstruction
Anterior pelvic exenteration: - ANSWERS-Removal of bladder with
ileal conduit construction;
removal of prostate in men;
removal of uterus, tubes, ovaries, and vagina in woman with possible
vaginal reconstruction
Total pelvic exenteration: - ANSWERS-Removal of bladder with ileal
conduit construction;
END OF
PAGE
4
QUESTIONS AND
ANSWERS 2026 - 2027
A 10-year-old male patient presents with the following symptoms:
intermittent abdominal cramping, pain, tenesmus, fatigue, and anemia.
Osteopenia, weight loss, and anorexia with growth retardation are also
noted. What condition would the WOC nurse suspect? - ANSWERS-
Ulcerative colitis
An infant diagnosed with prune belly syndrome would be managed by -
ANSWERS-Vesicostomy
Rationale: Prune belly syndrome presents with severe urinary tract
abnormalities. A temporary vesicostomy is performed to provide
adequate urinary drainage and prevent back up of urine
Which of the following would be the best to recommend for an active
toddler to prevent dislodgement of the pouch?
Use one-piece pouch system.
Use a diaper instead of a pouch.
Dress in clothing that has snap crotch.
Restrict active playtime. - ANSWERS-Dress in clothing that has snap
crotch
END OF
PAGE
1
, OSTOMY CARE EXAM 1 LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
Rationale: Clothing with a snap crotch ("onesies") can prevent an active
toddler from dislodging their colostomy pouch
An infant is diagnosed with myelomeningocele (spina bifida). For what
surgery would the WOC nurse prepare the family of this patient -
ANSWERS-Vesicostomy
Rationale: Vesicostomy is an initial surgical intervention for an infant
with myelomeningocele (spina bifida). The goal is to preserve renal
function. The child may be a candidate for clean intermittent
catheterization (CIC).
The ostomy nurse is sometimes asked to help implement a bowel
refeeding program for infants who have high output proximal stomas.
The primary purpose of this program is - ANSWERS-To promote
nutrient absorption and normal growth patterns
Infant formula is thought to be a triggering factor for necrotizing
enterocolitis True
False - ANSWERS-True
END OF
PAGE
2
, OSTOMY CARE EXAM 1 LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
the primary concern in the management of IBD in children is -
ANSWERS-Maintenance of normal nutritional status and growth
patterns
The ostomy nurse is consulted regarding education for the parents of a
neonate with an ileostomy due to necrotizing enterocolitis. They ask
about any longterm effects on their baby's health and bowel function.
What is the BEST response from the ostomy nurse? - ANSWERS-The
ostomy will be closed when the baby's condition permits; long term
outcomes depend on the length of small bowel remaining
When teaching parents about ostomy management, the ostomy nurse
should consider the following: - ANSWERS-Pouching is required for
the infant with an ileostomy but is optional for infants with a colostomy
or urostomy
If paste is used, it should be applied to the back of the pouch and
allowed to dry prior to pouch application
The most common reason for urinary diversion in adults is -
ANSWERS-Bladder cancer
END OF
PAGE
3
, OSTOMY CARE EXAM 1 LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
transitional cell carcinoma (TCC) - ANSWERS-TCC typically involves
the bladder but can also develop in the ureters or the collecting ducts
TCC is also known as urothelial cancer and is the most common type of
bladder cancer
Posterior pelvic exenteration: - ANSWERS-Removal of rectum with
APR or LAR;
possible prostatectomy in men;
removal of uterus, tubes, ovaries, and vagina in woman with possible
vaginal reconstruction
Anterior pelvic exenteration: - ANSWERS-Removal of bladder with
ileal conduit construction;
removal of prostate in men;
removal of uterus, tubes, ovaries, and vagina in woman with possible
vaginal reconstruction
Total pelvic exenteration: - ANSWERS-Removal of bladder with ileal
conduit construction;
END OF
PAGE
4
